PROGRAM REVIEW A PROCESS FOR SELF-EVALUATION AND CONTINUOUS IMPROVEMENT DIAGNOSTIC MEDICAL SONOGRAPHY

PROGRAM REVIEW A PROCESS FOR SELF-EVALUATION AND CONTINUOUS IMPROVEMENT DIAGNOSTIC MEDICAL SONOGRAPHY

CONTENTS Description of Program Review... 3 Description Purpose Elements of the Process Program Review Team Examples of Programs Process Timeframes Timelines Template for Program Review... 6 Overview 6 Summary of Significant Developments since Last Program Review Focus on Students: Demographics, Student Satisfaction, Learning Outcomes Assessments, Student Success....6-17 Focus on Faculty and Staff: Demographics, Professional Activities, Adjunct Faculty, Staff 17-20 Focus on Curriculum: Summary of Program Curriculum, Curricular Issues, Lead-in Courses, Follow-up Courses, Scheduling, Innovations or Changes in the Last Five Years......20-27 Focus on Support: Technology, Facilities and Equipment, Learning Resources, Marketing and Public Relations, Support Services, Resources/Budget.27-29 Focus on Community: Advisory Council, Community Groups, Community Issues Related to Program, External Requirements or Considerations........29-32 Summary: Program Achievements, Progress Made Since Last Review; Mission/Goals/Objectives; Strengths, Challenges; Celebration and Recognition; Recommendations for Change..32-34 Action Plan...35 Guidelines for Writing the Report... 36 Presentations at Public Forums... 36 External Review Process... 37 Archiving Program Review Forms and Supporting Documentation..... 37 BCC Vision, Mission, and Strategic Goals... 37 Helpful Tips... 38 BCC Academic Program Review -2-

DESCRIPTION OF PROGRAM REVIEW Bergen Community College strives to be a dynamic learning community that supports collaboration, diversity, and student success through quality programs and enthusiastic teaching, learning, and serving. The program review process is designed to ensure excellent educational programs that address student and community needs. It will be helpful to focus on where the program is now from a variety of perspectives, where do we want the program to be, and how and when does the program reach that point. The purpose for program review is to: Provide quality programs through peer review and self-evaluation Encourage systematic collection and review of student learning assessments and effectiveness measures Ensure that the program meets its stated mission and addresses the strategic directions of the college Recognize and celebrate achievements and successes Identify and address concerns and difficulties Address and fulfill accreditation requirements Elements of the process include: Faculty leadership Flexibility in defining areas to be assessed Support provided by Office of Institutional Research Recommendations based on quantitative and qualitative data A continuous improvement cycle whereby the recommendations and action plan for one cycle are addressed in the next cycle Sharing and communication of the program review summary and action plan with others at the college A program review team should consist of an appropriate combination of the following members: A Team Chair, typically the department chair or a faculty member appointed by the Divisional Dean in consultation with the Vice President of Academic Affairs The program director/coordinator, if applicable Designated faculty and staff from the area, appointed by the Team Chair in consultation with the Divisional Dean Adjunct faculty and/or part-time staff as appropriate, appointed by the Team Chair in consultation with the Divisional Dean Staff from other areas as appropriate, appointed by the Team Chair in consultation with the Divisional Dean A faculty member from another division, as appropriate, chosen by the Team Chair in consultation with the Divisional Dean The Divisional Dean External Reviewer selected by the Divisional Dean based on recommendations from the Team Chair BCC Academic Program Review -3-

Vice President of Institutional Research, ex officio Vice President of Academic Affairs, ex officio Examples of programs are: A group of courses that result in a certificate or degree (e.g. A.S., A.A., A.F.A., A.A.S., CERT, C.O.A.) Transfer programs, as well as sequences of courses taken for transfer to the university (e.g. EBS or Developmental Math sequence, business transfer courses) Individual courses or a sequence of courses or combinations of courses (e.g. communication courses, college math sequence, performing arts program) Special programs (Honors, Service Learning, Library, Counseling) Others The process will involve the following steps: Identify the Team Chair and team members for program review Hold a team meeting to review purpose, process and end product Collect qualitative and quantitative data and other pertinent documents Review the data, reflecting on the purposes for program review Complete the program review form Present summary of program review data and conclusions at a public forum Timeframes for program review will be: Every five years for most programs More often for programs where specific issues have been identified and where interim reporting may be necessary BCC Academic Program Review -4-

A suggested timeline for a specific program s review is provided below. The Team Chair may modify the number of meetings according to the needs of the program. Identify programs to review for the next academic year and identify team chairs by... September Orientation for team chairs... October First team meeting to focus on process by... 2 nd week in November Second team meeting to review standard data sets by... 2 nd week in December Third team meeting to review data from other sources and determine if more data is needed by... 2 nd week in February Fourth team meeting to formulate recommendations and begin writing results by... 2 nd week in March Fifth team meeting to prepare draft by... 2 nd week in April Final report completed by... 4 th week in May Presentation to division in... Fall 2014 Semester Presentation at a public forum in... Fall 2014 Semester BCC Academic Program Review -5-

Template for Program Review Bergen Community College PROGRAM: Diagnostic Medical Sonography PROGRAM REVIEW TEAM: Geralyn Collins Eisler DATE OF THIS REPORT: April 26, 2017 PERIOD OF YEARS BEING REVIEWED: 2011-2014 OVERVIEW State the mission of the program, describe program goals and objectives, and describe the relationship to overall college mission and goals The mission of the Diagnostic Medical Sonography program is to help students foster and develop skills which will enable them to work in close association with radiologists and physicians to provide quality images to aid in diagnostic interpretation. The knowledge and practice of clinical skills and recognizing the disease state qualifies him/her to become a respected member of his/her peers. These abilities are attained by a correlation of theoretical instruction and clinical experience. The instructors will work closely with the students in both the didactic and clinical phases of the program to develop their personal and vocational abilities. They will also attempt to provide a climate that will stimulate the student in the development of concepts and skills enabling him/her to become a competent sonographer and a productive member of the Sonography team. This closely aligns with the mission of Bergen Community College as graduates of the program will by virtue of their degree, registries and skills be ready to embrace opportunities for educational, professional and personal growth. SUMMARY OF SIGNIFICANT DEVELOPMENTS SINCE LAST PROGRAM REVIEW Provide a brief summary of significant developments since the last program review, with particular emphasis on challenges identified by the previous team, accomplishments relating to the action plans, any work yet to be done A challenge identified was improving student attrition rates. As a result of attrition rates, an action plan was implemented that utilized the HESI test as an entrance examination for the students starting in the fall of 2011. It was anticipated that this objective method of selection should have a positive impact on the attrition of the program since the top scorers on the entrance exam will be admitted to the program. Due to the small class size of the DMS program, improving attrition rates is innately challenging. The program accepts a maximum of 15 students per year due to the nature of our clinical rotations. The attrition rate for the class of 2013 was 27%, which was higher than acceptable. Four students dropped out due to personal reasons. An action plan was implemented that included a mandatory new student orientation in June at which faculty stressed to the new students the necessity of realistic goals regarding time management, study skills, and expectations about the intensity of the program content. The attrition rate for the class of 2014 was again 27% and an action plan was implemented that invited current students to the new student orientation to share their personal experiences and the sacrifices necessary to be successful in the program. The attrition rate for the class of 2015 was 31%. Two students failed and three dropped out. One of BCC Academic Program Review -6-

the three that left dropped out for a career change and two left for personal reasons. As per the newest Action Plan (2015), during the Health Professions Information Sessions that are held for prospective students; program expectations; specifically, time, intensity and study expectations will be outlined. Additionally, a semester by semester breakdown will be reviewed so students can preplan for the anticipated rigors of the program. FOCUS ON STUDENTS Reflect on the degree to which the program is meeting student needs. Comment on each of the following categories. Some considerations are given after each category please comment on only those which are applicable to this program. Demographics [Analysis or examination of the demographics of the students enrolled, special populations being served or not being served, trends and patterns of enrollment, comparisons to other Maricopa Colleges and national trends, ] Diagnostic Medical Sonography AAS.HP.DMS, AAS.AH.DMS Enrollment by Race/Ethnicity, Age and Gender, Fall 2011 Fall 2016 Race/Ethnicity Fall 2011 Fall 2012 Fall 2013 Fall 2014 Fall 2015 Fall 2016 # % # % # % # % # % # % Am. Indian/Alaska Native 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% Asian 5 15.6% 2 7.7% 3 10.3% 2 7.1% 2 7.1% 2 6.7% Black/African American 2 6.3% 0 0.0% 0 0.0% 1 3.6% 0 0.0% 1 3.3% Hawaiian/Pacific Islander 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% Hispanic, all races 3 9.4% 3 11.5% 5 17.2% 4 14.3% 4 14.3% 6 20.0% Two or more races 0 0.0% 1 3.8% 1 3.4% 1 3.6% 1 3.6% 0 0.0% White 20 62.5% 15 57.7% 12 41.4% 15 53.6% 15 53.6% 14 46.7% Total Known Race 30 93.8% 21 80.8% 21 72.4% 23 82.1% 22 78.6% 23 76.7% Non-Resident Alien 0 0.0% 1 3.8% 1 3.4% 1 3.6% 1 3.6% 1 3.3% Unknown 2 6.3% 4 15.4% 7 24.1% 4 14.3% 5 17.9% 6 20.0% Total Enrollment 32 100.0% 26 100.0% 29 100.0% 28 100.0% 28 100.0% 30 100.0% Age Range Fall 2011 Fall 2012 Fall 2013 Fall 2014 Fall 2015 Fall 2016 # % # % # % # % # % # % Under 18 years old 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 18 to 21 years old 2 6.3% 3 11.5% 3 10.3% 9 32.1% 6 21.4% 7 23.3% 22 to 24 years old 3 9.4% 3 11.5% 5 17.2% 3 10.7% 5 17.9% 6 20.0% 25 to 34 years old 7 21.9% 9 34.6% 11 37.9% 12 42.9% 12 42.9% 12 40.0% 35 years and older 2 62.5% 11 42.3% 10 34.5% 4 14.3% 5 17.9% 5 16.7% Unknown 00 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% Total Enrollment 3 100.0% 26 100.0% 29 100.0% 28 100.0% 28 100.0% 30 100.0% 2 BCC Academic Program Review -7-

Fall 2011 Fall 2012 Fall 2013 Fall 2014 Fall 2015 Fall 2016 Gender # % # % # % # % # % # % Male 3 9.4% 4 15.4% 3 10.3% 1 3.6% 3 10.7% 3 10.0% Female 29 90.6% 22 84.6% 26 89.7% 27 96.4% 25 89.3% 27 90.0% Unknown 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% 0 0.0% Total Enrollment 32 100.0% 26 100.0% 29 100.0% 28 100.0% 28 100.0% 30 100.0% -The most notable trend in the Diagnostic Medical Sonography Program s Demographics is the decrease in the white student population from 62.5% in 2011to 46.7% in 2016. The Hispanic population has increased during this period from 9.4% in 2011 to 20.0% in 2016. -A significant trend in student s age is an increase in the 25 to 34 year age group from 21.9% in 2011 to 40.0% in 2016. This trend was accompanied by a decrease in the 35 year and older group from 62.5% in 2011 down to 16.7% in 2016. -The Diagnostic Medical Sonography Program continues to be a female dominated program with the female component being > 84% for the time span 2011-2016. -Many of our students have some college credits or hold prior degrees. -Many of our students live outside Bergen County with some of them living in New York. -We accept 15-16 students per year. We receive approximately 160 applicants per year with roughly 60 being eligible to sit for the HESI test. Student Satisfaction [Student surveys of enrollees, transfer students and/or graduates (program-specific or institution-level), qualitative measures for example focus groups or interviews ] The Center for Institutional Effectiveness at Bergen Community College conducts an annual Graduate Follow-up Survey of graduates one year after they have completed the Diagnostic Medical Sonography Program to assess the extent to which students feel the College s programs, facilities and services have enabled them to achieve their personal, educational and professional goals. The following information relates to the students who received degrees and certificates between 2012 and 2014. Number of Total Respondents 2012 2013 2014 3 5 1 Have you enrolled at another college in a degree granting program since your graduation from BCC? 2012 2013 2014 Freq. % Freq. % Freq. % Yes 0 0.0% 1 20.0% 1 100.0 No 3 100.0% 4 80.0% 0 % 0.0% BCC Academic Program Review -8-

The Joint Review Committee requires the use of a graduate survey as a component of the programs ongoing self-assessment. The graduate surveys are sent to the students six months post-graduation. 2012-10 surveys returned Rating 5 4 3 2 1 N I. KNOWLEDGE BASE (Cognitive Domain) THE PROGRAM: A.Helped me acquire the sonography care knowledge necessary to function in a healthcare setting. B.Helped me acquire the general medical knowledge base necessary to function in a healthcare setting. C.Prepared me to collect data from charts and patients. D.Prepared me to interpret patient data. E. Prepared me to evaluate diagnostic findings in order to perform appropriate diagnostic procedures. F.Trained me to use sound judgment while functioning in a healthcare setting. II. CLINICAL PROFICIENCY (Psychomotor Domain)THE PROGRAM: Count 10 Count 10 Count 9 1 Count 10 Count 10 Count 10 A.Prepared me to perform a broad range of sonography examinations in the following specialty in which I trained (circle only those that apply). General Cardiac Vascular B.Prepared me with the skills to perform patient assessment C. Prepared me to perform up-to-date sonography procedures. D.Prepared me to perform and interpret diagnostic procedures Count 10 Count 10 Count 9 1 Count 10 Count 9 1 Count 10 BCC Academic Program Review -9-

III. BEHAVIORAL SKILLS (Affective Domain) THE PROGRAM: A.Prepared me to communicate effectively within a healthcare setting. B.Prepared me to conduct myself in an ethical and professional manner. C.Prepared me to manage my time efficiently while functioning in a healthcare setting Count 10 Count 10 Count 9 1 2013-11 surveys returned Rating 5 4 3 2 1 N I. KNOWLEDGE BASE (Cognitive Domain) THE PROGRAM: A.Helped me acquire the sonography care knowledge necessary to function in a healthcare setting. B.Helped me acquire the general medical knowledge base necessary to function in a healthcare setting. C.Prepared me to collect data from charts and patients. D.Prepared me to interpret patient data. E. Prepared me to evaluate diagnostic findings in order to perform appropriate diagnostic procedures. F.Trained me to use sound judgment while functioning in a healthcare setting. II. CLINICAL PROFICIENCY (Psychomotor Domain)THE PROGRAM: Count 9 2 Count 9 2 Count 7 3 1 Count 6 4 1 Count 8 3 Count 9 2 A.Prepared me to perform a broad range of sonography examinations in the following specialty in which I trained (circle only those that apply). General Cardiac Vascular B.Prepared me with the skills to perform patient assessment C. Prepared me to perform up-to-date sonography procedures. Rating 5 4 3 2 1 N Count 7 4 Count 7 4 Count 7 4 Count 8 2 1 Count 7 4 D.Prepared me to perform and interpret diagnostic procedures BCC Academic Program Review -10-

III. BEHAVIORAL SKILLS (Affective Domain) THE PROGRAM: Count 8 3 A.Prepared me to communicate effectively within a healthcare setting. B.Prepared me to conduct myself in an ethical and professional manner. C.Prepared me to manage my time efficiently while functioning in a healthcare setting Count 9 2 Count 10 1 Count 8 2 1 2014-9 surveys returned Rating 5 4 3 2 1 N I. KNOWLEDGE BASE (Cognitive Domain) THE PROGRAM: A.Helped me acquire the sonography care knowledge necessary to function in a healthcare setting. B.Helped me acquire the general medical knowledge base necessary to function in a healthcare setting. C.Prepared me to collect data from charts and patients. D.Prepared me to interpret patient data. E. Prepared me to evaluate diagnostic findings in order to perform appropriate diagnostic procedures. F.Trained me to use sound judgment while functioning in a healthcare setting. II. CLINICAL PROFICIENCY (Psychomotor Domain)THE PROGRAM: Count 8 1 Count 8 1 Count 7 2 Count 7 2 Count 8 1 Count 8 1 A.Prepared me to perform a broad range of sonography examinations in the following specialty in which I trained (circle only those that apply). General Cardiac Vascular B.Prepared me with the skills to perform patient assessment C. Prepared me to perform up-to-date sonography procedures. Rating 5 4 3 2 1 N Count 8 1 Count 7 2 Count 7 2 Count 8 1 Count 8 1 BCC Academic Program Review -11-

D.Prepared me to perform and interpret diagnostic procedures III. BEHAVIORAL SKILLS (Affective Domain) THE PROGRAM: Count 8 1 A.Prepared me to communicate effectively within a healthcare setting. B.Prepared me to conduct myself in an ethical and professional manner. C.Prepared me to manage my time efficiently while functioning in a healthcare setting Count 8 1 Count 8 1 Count 8 1 Various comments from students 2012-Additional lab/scanning allowance for those graduates who have not yet obtained employment would be ideal. It would help maintain and possibly improve the skills obtained during the class time and clinical rotations. 2013-Please provide new or up to date machines, cardiac packages are lacking and more phantoms are needed. Strengths include the enthusiasm of the professors for the material they teach. 2014-Needs include adding another semester of vascular and more focus on small part exams. As an entry level sonographer, I felt confident regarding my knowledge and skills. Comments Student feedback is predominantly positive with most items earning a score of 5 or 4. In 2013 one respondent gave a score of 2 to two skills; 1-prepared me to collect data from charts and patients and 2- prepared me to interpret patient data. While one respondent out of 11 is not statistically significant, these skills are assessed in clinical and our adjuncts must be consistent. These points will be addressed at the next adjunct conference. Adjuncts will be instructed that these topics are a teaching opportunity that we must reliably address with students in the hospital setting. Learning Outcomes Assessments [Documented outcomes, degree of faculty participation in regular assessment activities, results of assessments, what has been learned from assessments, what has changed as a result of assessments, what plans are there for changes in the future, are there appropriate feedback loops to improve student learning, ] Please fill out the chart below and include copies of recent assessment reports. Program Learning Outcomes (include all program outcomes that are listed in the Academic Catalog ) Demonstrate the ability to efficiently perform basic abdominal and small parts, pelvic, obstetrical, and cardiac Describe how the outcome has been directly assessed in the last five year period. Student competency exams are graded in lab and clinical What have been the results of that assessment? What changes have been made as a result? One student has failed a didactic lab competency and BCC Academic Program Review -12-

ultrasound examinations at an acceptable level of competence. Correlate ultrasound images with clinical findings, patient history, and pertinent pathophysiology. Possess the knowledge, skills and abilities of the student sonographer in caring for the ill patient Demonstrate the ability to promote good interpersonal relations with members of the health team Possess a medical and professional sense of values and a concern for public health and safety. Have an awareness of the responsibilities and limitations of the role of the sonographer and to be able to function within these limits Understand the importance of continued personal and educational growth Recognize and appreciate the cost, preparation, maintenance and care of sophisticated instrumentation found within the ultrasound department. by Bergen Community College clinical and lab faculty Students are assessed by quizzes, tests and film pathology exams. Students must pass DMS 102 Patient Care in the first semester where they learn the fundamentals. Students are evaluated four time during each clinical rotation on a professional growth form which assesses this ability. This is assessed in DMS 102 Patient Care and the students and by the student s participation in Community Health Week which will be expanded this year to include service learning. Students are evaluated four time during each clinical rotation on a professional growth form which assesses this ability. Students are encouraged to join the professional organization SDMS and will be joining Sono-World as part of Advanced Practice beginning Spring 2017 Students are evaluated four time during each clinical rotation on a professional growth form which assesses this ability. Additionally, students are being assigned a scan station leader in each lab session to ensure care of ultrasound equipment and each lab station did not earn the combined academic and competency grade of 75 to move on. The student is retaking the first semester courses at present. Students must earn a cumulative grade of 75 to pass. Four have failed in this time period. All students have passed, All students have passed. All students have passed DMS 102 and the DMS students have shown strong support for the Celebration of Life Walk. Service Learning is to be added Spring 2017 All students have passed Many students are members of the SDMS before seeking employment. Students in DMS 228 Advanced Practice will be required to join Sono- World. All students have passed. Students assess the cleanliness of the lab stations and ultrasound machines before leaving lab sessions. BCC Academic Program Review -13-

Be prepared to successfully complete the registry examinations offered by the American Registry of Diagnostic Medical Sonographers (ARDMS) in the areas of Abdominal, Ob/Gyn, and Adult Echocardiography. A recent change is that students are eligible to complete registry exams in the areas of Abdominal, Ob/Gyn, and Adult Echocardiography sixty days before graduation. (54%) students from the Class of 2015 took registry exams before graduating. Student Success [Retention and completion rates, placement data, comparison to other colleges in New Jersey and national trends, transfer rates and/or transfer success, graduates perspectives, employers perspectives, degree to which students succeed at next educational level, degree to which diverse populations succeed,] Diagnostic Medical Sonography (AAS.HP.DMS, AAS.AH.DMS) Graduates Answers to Main Graduate Follow-Up Survey 2012 2013 2014 3 5 1 Table 2: Have you enrolled at another college in a degree granting program since your graduation from BCC? 2012 2013 2014 Freq. % Freq. % Freq. % Yes 0 0.0% 1 20.0% 1 100.0% No 3 100.0% 4 80.0% 0 0.0% Less than 32 - - 0 0.0% 0 0.0% 33-63 - - 0 0.0% 1 100.0% Only one student from the three years polled went on to further education. All of the credits earned at Bergen Community College were accepted at the transfer institute. Students reported that they felt prepared for further education. BCC Academic Program Review -14-

Each year the DMS program complies data for the JRC regarding retention, completion, employment and credential success rate. Year 2012 2013 2014 Attrition Rate 17 admits/17 graduates=0% 15 admits/11 graduates=27% 15 admits/11 graduates=27% Employment Rate 17graduates/14 employed=82% 11 graduates/5 employed=45% 11 graduates/8 employed 73% Credential Success -registry credentials earned, all pass rates 100% unless indicated Year Number of Abdomen RDMS OB/GYN RDMS Echo RDCS graduates 2012 17 3 9 7 2013 11 5 (83% pass rate) 3 1 2014 11 8 7 4 PASS RATE Program Attrition Graduates RDMS RDMS RDCS EMPLOYMENT Abdomen OB/GYN ECHO RATE 0% 17 100% 100% 100% 82% BERGEN COMMUNITY COLLEGE 2012 Rowan College at Burlington 2012 Rowan College at Gloucester 2012 Data not available 29% 10 67% 78% N/A 90% BERGEN COMMUNITY COLLEGE 2013 Rowan College at Burlington 2013 Rowan College at 27% 11 83% 100% 100% 45% 43% 4 50% 100% N/A 50% 14% 12 92% 80% 83% BCC Academic Program Review -15-

Gloucester 2013 BERGEN COMMUNITY COLLEGE 2014 Rowan College at Burlington 2014 Rowan College at Gloucester 2014 27% 11 100% 100% 100% 73% 0% 9 57% 67% N/A 67% 38% 8 75% 805 N/A 75% Bergen Community College is accredited in Abdomen, OB/GYN and Echo. We teach one semester of vascular but are not accredited in vascular. Rowan College at Gloucester is also accredited in vascular, but neither college offers echocardiography. Bergen Community is unique in the fact that at an Associate Degree level students are eligible to become credentialed in abdomen, OB/GYN and echo. After earning one of the prior registries and having a CV form completed by a sonographer with vascular credentials, our graduates can sit for the vascular registry and earn the RVT credential. Rutgers offers all four specialties but the students must enroll in a tract and choose between echo and general. Bergen graduates have the advantage of earning multiple registries and therefore being more marketable in the work force. Employer Surveys The Joint Review Committee requires the Diagnostic Medical Sonography program to survey employers within a year of graduation. Most employees report that Bergen graduates are well prepared and all report that they would hire another graduate again. The survey inquiry includes; Knowledge Base (Cognitive Domain) The graduate: A. Has the sonography knowledge necessary to function in a healthcare setting B. Has the general medical knowledge necessary to function in a healthcare setting C. Is able to college data from charts and patients D. Is able to interpret patient data E. Is able to recommend appropriate diagnostic and therapeutic procedures Clinical Proficiency (Psychomotor Domain) The Graduate: Behavioral Skills (Affective Domain) The Graduate: A. Communicates effectively within a healthcare setting B. Conducts himself / herself in an ethical and professional manner C. Functions effectively as a member of the healthcare team D. Accepts supervision and works effectively with supervisory personnel Overall Rating BCC Academic Program Review -16-

Please rate and comment on the overall quality of this program s graduate Additional Comments What qualities or skills (if any) did you expect of the graduate upon employment that he/she did not possess? What are strengths of the graduate(s) of this program? Please provide comments and suggestions that would help this program to better prepare future graduates. If given the opportunity, would you hire another graduate from this program? Bergen Community College Diagnostic Medical Sonography graduates are well regarded in the field. Many of our graduates continue to find employment at their clinical sites. Majority of the graduates from the 2012-2015 went on to work in the field of General or OB/GYN. Due to the size and structure of the DMS program trends are readily apparent; for example, the decrease in the number of students earning the Echo credential. Data Needs What additional data that is currently not available would have been helpful to effectively evaluate this area of the program? No additional data is necessary at this time. FOCUS ON FACULTY AND STAFF Reflect on the faculty and staff in the program and the degree to which their needs are met, in order for them to in turn be successful with students. Comment on each of the following categories. Some considerations are given after each category please comment on only those which are applicable to this program. Demographics [Demographics of faculty and staff, full-time and part-time, faculty, technicians, support positions ] The Diagnostic Medical Sonography Program is staffed Name Title Degree Credential Part Time/ Full Time Geralyn Collins-Eisler Christine Henkel Jaclyn Rose Program Director Didactic/Lab/Clinical Faculty Didactic/Lab/Clinical Faculty Clinical Coordinator Didactic/Lab/Clinical Faculty BSN AAS AAS MS BS AAS RN, RDMS (AB,OB/GYN), RDCS,RVT RDMS (AB,OB/GYN RDMS (AB,OB/GYN), RDCS,RVT FT 2014 Date of Appointment FT 1991 PT 1995 FT PT 2014 BCC Academic Program Review -17-

Rose Marie Loffredo Didactic/Lab/Clinical Faculty AAS RDMS (AB) RDCS Nadia Assis Didactic/Lab/Clinical Faculty AAS RDMS (AB, OB/GYN) PT 2002 PT 2010 Jorge Alvarez Lab/Clinical Faculty BS RVS PT 2016 Melissa Benkovic Laboratory/Clinical Faculty AAS RDMS (AB, OB/GYN) PT 2015 Dorothy Celauro Glenna Enriquez Susan Herbert Laboratory/Clinical Faculty Laboratory/Clinical Faculty Laboratory/Clinical Faculty BS MS ARRT PT 2002 radiography 2017 DMS AAS RCS PT 2015 AAS RDMS (AB, OB/GYN), RVT PT 2005 Diana Kekhman Laboratory/Clinical Faculty AAS RDMS (OB/GYN), RVT PT 2015 Maria McGovern Gail Mullen Urvashi Paghdal Susan Price Laboratory/Clinical Faculty Laboratory/Clinical Faculty Laboratory/Clinical Faculty Laboratory/Clinical Faculty AAS RDCS (AE) PT 2012 AAS RVT, RCS PT 2012 BS AAS BA MS RDMS (AB, BR) PT 2017 RDMS (AB, OB/GYN, BR) PT 2001 Parinaz Rahwar Laboratory/Clinical Faculty AAS RDMS (AB, OB/GYN) PT 1999 Michele Roe- Devita Clinical Faculty AAS RDMS (AB, OB/GYN), RCS PT 2009 Ellen Solinas Laboratory/Clinical Faculty AAS RDMS (AB, OB/GYN) PT 1997 Donna Song Elizabeth Valle Loretta Visconti Laboratory/Clinical Faculty Clinical Faculty Laboratory/Clinical Faculty BS RVT PT 2016 AAS RDMS (OB/GYN) PT 2011 BS AS RDCS (AE), RVT, RMA PT 2011 BCC Academic Program Review -18-

Professional Activities [Special projects, reassigned time, professional organizations, grants, partnerships, publications, presentations, other contributions, ] Christine Henkel MS RDMS (Abdomen and Ob/Gyn) Ob/Gyn Item Wrier/Mentor Group Lead (oversee volunteers that write items (questions) for the ARDMS Ob/Gyn Registry Exams.) Member of American Institute of Ultrasound in Medicine (AIUM) Geralyn Collins Eisler RN, RDMS (Abdomen and Ob/Gyn), RVT, RDCS Member SDMS Currently researching the effect of student generated questions on student s perceived readiness for registry exams. Incorporated service learning into Advanced Practice Class-Class of 2017-1 st DMS class to earn service learning Participated in Sonography presentation for ESL students Adjunct Faculty [Hiring, coordination, support, communication ] Adjunct faculty are hired on an as needed basis. Potential hires meet with the Dean and Program Director before being hired. Adjuncts meet with human resources during adjunct orientation and meet with the DMS faculty during summer and winter adjunct conferences. During the adjunct conferences updated adjunct manuals are distributed and updates, changes and challenges are discussed. Adjunct faculty are restricted to 9 hours and as a result there is a need for many adjuncts. Three new adjuncts Jorge Alvarez, Urvashi Paghdal and Donna Song, joined the DMS department in fall 2016. Adjuncts work primarily in the clinical setting and some of them work on campus. Adjuncts have the opportunity to participate in the adjunct faculty development program and earn stipends while enhancing their skills. The coordination and scheduling of adjuncts in the clinical setting is handled by the clinical coordinator. Adjuncts are assigned to meet weekly with students in the clinical setting. Adjuncts must commit to certain clinical days and hours. A copy of the adjunct location grid is kept on file each semester by the program director, clinical coordinator and administrative secretary. Coordination and scheduling of adjuncts on campus is handled by the program director. All adjuncts maintain current registries, CME s and many attend professional development conferences. Adjuncts have access to computers and copy machine at the adjunct office. They also have access to the library, CITL, copy center, media and help desk support. Communication is encouraged and usually occurs via email and via phone during the semester. Adjuncts are instructed to notify the program director if a student is having difficulty in clinical. Likewise, if a student is experiencing challenges scanning in lab, the program director will reach out to the clinical faculty adjunct. The goal of this communication is to take every opportunity to help an at-risk student overcome any scanning challenges they are facing by focusing our lab and clinical efforts concurrently. This semester the program director sent an email to all freshman clinical faculty adjuncts to get feedback and assess if there were any at risk students during the half way point. The adjunct faculty response was insightful and they seemed to BCC Academic Program Review -19-

appreciate that we value their feedback. This proactive as opposed to reactive approach will help to increase student s success in the program. Staff [Secretarial/clerical support, other staff support ] The Health Professions administrative assistant is available to help with numerous tasks. Some of the many needs of the program include scheduling events, mailings, placing work orders, assisting with the day to day needs of the program. The dean s administrative assistant oversees orders, schedules appointments. Both assist with needs that arise during accreditations and program reviews. Data Needs What additional data that is currently not available would have been helpful to effectively evaluate this area of the program? None at this time FOCUS ON CURRICULUM Reflect on the curriculum for the program the courses, the scope and sequence, articulation with other institutions, teaching innovations, and other relevant issues please comment on only those which are applicable to this program. Summary of Program Curriculum [Degrees, certificates, sequences of courses] Attach copies of Program Learning Outcomes, Curriculum Maps and Master Course Syllabi, where applicable The Diagnostic Medical Sonography Program follows a two-year sequence. Fall semester, spring semester and a six-week summer session for both year one and year two. The students earn an Associate s Degree in Applied Science. After year one, the students are eligible to take the SPI Sonography Principles & Instrumentation exam. Sixty days before graduation, students who have successfully completed the SPI exam can take specialty exams in Abdomen, OB/GYN and Adult Echo. The credentials will not be released until the students graduate in August. BCC Academic Program Review -20-

Program Courses I. First Semester BIO-109 Anatomy and Physiology I 4 DMS-101 Ultrasound Physics and Instrumentation I [Fall Only] 2 DMS-102 Clinical Medicine and Patient Care [Fall Only] 2 DMS-113 Abdominal Sonography I [Fall Only] 3 DMS-115 Cross-Sectional Anatomy [Fall Only] 4 WRT-101 English Composition I 3 DMS-101, DMS-102, DMS-113, DMS-115: Offered only in fall semesters. Total Credit Hours: 18 II. Second Semester BIO-209 Anatomy and Physiology II 4 DMS-201 Ultrasound Physics and Instrumentation II [Spring Only] 2 DMS-204 Introduction to Medical Imaging [Spring Only] 1 DMS-205 Obstetric and Gynecological Sonography I [Spring Only] 3 DMS-213 Abdominal Sonography II [Spring Only] 3 DMS-218 Ultrasound Clinic I [Spring Only] 1 WRT-201 English Composition II 3 DMS-201, DMS-204, DMS-205, DMS-213, DMS-218: Offered only in spring semesters. Total Credit Hours: 17 III. Summer Semester DMS-219 Ultrasound Clinic II - Abdomen 2 Total Credit Hours: 2 IV. Third Semester Humanities Elective* 3 DMS-214 Echocardiography I [Fall Only] 3 DMS-220 Ultrasound Clinic III - Obstetric and Gynecological Sonography [Fall Only] 2 DMS-226 Obstetric and Gynecological Sonography II [Fall Only] 3 DMS-229 Vascular Imaging [Fall Only] 2 DMS-214, DMS-220, DMS-226, DMS-229: Offered only in fall semesters. V. Fourth Semester Total Credit Hours: 13 BCC Academic Program Review -21-

Free Elective 3 DMS-221 Ultrasound Clinic IV - Echocardiography [Spring Only] 2 DMS-227 Echocardiography II [Spring Only] 3 DMS-228 Advanced Ultrasound Practices [Spring Only] 1 PSY-101 General Psychology 3 Total Credit Hours: 12 DMS-221, DMS-227, DMS-228: Offered only in spring semesters. VI. 2nd Summer Semester DMS-222 Ultrasound Clinic V - Vascular [Summer Only] 1 DMS-230 Comprehensive Review [Summer Only] 3 Total Credit Hours: 4 VII. VIII. General Education Requirements Communication WRT-101 English Composition I 3 WRT-201 English Composition II 3 or WRT-202 Technical Writing 3 Total Credit Hours: 6 IX. Humanities* and Social Sciences One 3-credit general education Humanities elective to be selected from the following fields: Arts (Art [ART], Music [MUS],Theatre Arts [THR], Cinema Studies [CIN]); History (HIS); Literature (LIT); Philosophy and Religion (PHR); World Languages and Cultures (LAN). 3 X. Social Science Course: PSY-101 General Psychology 3 Total Credit Hours: 6 XI. Mathematics, Natural Sciences, and Technology BIO-109 Anatomy and Physiology I 4 BIO-209 Anatomy and Physiology II 4 Total Credit Hours: 8 Total Credit Hours: 20-22 BCC Academic Program Review -22-

XII. Program Requirements DMS-101 Ultrasound Physics and Instrumentation I [Fall Only] 2 DMS-201 Ultrasound Physics and Instrumentation II [Spring Only] 2 DMS-102 Clinical Medicine and Patient Care [Fall Only] 2 DMS-113 Abdominal Sonography I [Fall Only] 3 DMS-213 Abdominal Sonography II [Spring Only] 3 DMS-115 Cross-Sectional Anatomy [Fall Only] 4 DMS-204 Introduction to Medical Imaging [Spring Only] 1 DMS-205 Obstetric and Gynecological Sonography I [Spring Only] 3 DMS-214 Echocardiography I [Fall Only] 3 DMS-227 Echocardiography II [Spring Only] 3 DMS-218 Ultrasound Clinic I [Spring Only] 1 DMS-219 Ultrasound Clinic II - Abdomen 2 DMS-220 Ultrasound Clinic III - Obstetric and Gynecological Sonography [Fall Only] 2 DMS-221 Ultrasound Clinic IV - Echocardiography [Spring Only] 2 DMS-222 Ultrasound Clinic V - Vascular [Summer Only] 1 DMS-226 Obstetric and Gynecological Sonography II [Fall Only] 3 DMS-228 Advanced Ultrasound Practices [Spring Only] 1 DMS-229 Vascular Imaging [Fall Only] 2 DMS-230 Comprehensive Review [Summer Only] 3 DMS-101, DMS-102, DMS-113, DMS-115, DMS-214, DMS-220 DMS-226, DMS-229: Offered only in fall semesters. DMS-201, DMS-213, DMS-204 DMS-205, DMS-227, DMS-218, DMS-221, DMS-228: Offered only in spring semesters. Total Credit Hours: 43 XIII. Free Elective Total Credit Hours: 3 TOTAL CREDIT HOURS: 66 Specific Program Notes *General Education Course List. All DMS courses must be taken in the specified sequence. Students enrolled in this program ARE REQUIRED to successfully complete a course in basic algebra if indicated by Placement Testing. Curricular Issues [Articulation, program development, course development] The program is designed to meet the requirements set for accredited programs by CAAHEP Commission on Accreditation of Allied Health Education Programs. The curriculum ensures the achievement of program goals BCC Academic Program Review -23-

and learning domains. Instruction must be an appropriate sequence of classroom, laboratory, and clinical activities. Instruction must be based on clearly written course syllabi that include course description, course objectives, methods of evaluation, topic outline, and competencies required for graduation. Rutgers offer a bachelor s degree program for Diagnostic Medical Sonography. Fairleigh Dickenson University offers a bachelor s degree in Allied Health Technology and accepts the DMS courses from Bergen Community College. Lead-in Courses [Developmental preparation, prior courses and their impact, alignment with AGEC or with Course Equivalency Guide, dual enrollment or articulation agreements with high schools, ] The application process begins with completion of all basic skill requirements being met. All basic skills, English as a Second Language (ESL) courses and prerequisites (see below) must be completed by the application deadline (Feb. 1), and a minimum GPA of 2.5 is required. Prerequisite Courses for application to the Diagnostic Medical Sonography Program Algebra (prior degree or Basic Skills Algebra course satisfies this requirement) Anatomy and Physiology 1* (BIO 109 at BCC) A college level Physics course* (PHY 185 at BCC) *Both science courses must be 4 credits with a lab, must have no online components, earn a grade of at least C, and must have been completed within the past (5) years from the time of application to the DMS program. Senior high school students may apply to the program only if they have taken or are currently enrolled in Advanced Placement Biological Science AND Advanced Placement Physics. AP test documentation will be required. High School algebra is also required. If high school prerequisites are not satisfied, the student must apply to BCC and follow the program prerequisites stated above. Prerequisite courses and general education courses may be accepted if they have been taken at a Middle States Accredited College and fall within the GPA and 5 year guidelines. Application to the Diagnostic Medical Sonography Program is as follows; Current BCC degree seeking students must submit a change of curriculum form. Applications are reviewed the first week of February. Letters will be sent regarding the acceptance or denial of the application. If an application is denied, information stating the reason for denial will be included. Criminal History Background Check When it is determined that the applicant meets the admission criteria, they will receive an email and a letter from the Dean of Health Professions regarding the completion of the Criminal History Background Check (CHBC). The letter will provide the information needed to complete the process electronically and must be initiated within five (5) days of receipt of the letter. The cost for the background check is approximately $70.00. Please note that the CHBC is a requirement of the accrediting agency of our clinical education centers and not Bergen Community College. The applicant will not be permitted to proceed with the application process if there is ANY infraction on the CHBC. BCC Academic Program Review -24-

HESI Admission Assessment Examination When a clear criminal history background check is received, the applicant will be invited to take the HESI Admission Assessment Examination (a standardized exam for Health Professions.) The HESI exam is currently administered by Prometric Testing Centers. They will receive a letter from the DMS Program Director with detailed information regarding the testing procedure. HESI Admission Assessment Examination Diagnostic Medical Sonography Modules: Science Biology (AP HS students only) Anatomy and Physiology (college students only) Math Reading Comprehension Vocabulary Grammar Personality Profile Learning Style The top fifteen (15) scorers on the HESI Admission Assessment Examination will be invited to start the program in September Follow-up Courses [Sequential courses, connecting activities ] The DMS program follows a sequence of didactic, lab and clinical. While there are no follow up courses, registered sonographers are required to complete 30 credits of continuing education every three years. Students and alumni also have the opportunity to practice their scanning skills during our recently added (Fall 14) Saturday lab. Scheduling [Enrollment patterns and trends; time and date issues such as day, afternoon, evening, or weekend, format issues such as self-paced, distance, or short-term; ] The Diagnostic Medical Sonography Program maintains a tight schedule. Two cohorts are simultaneously completing the sequence of didactic, lab and clinical learning. As every lab must meet in the same room the students are informed that they must be flexible as classes will meet in both the day and evening hours. Due to lack of clinical sites, senior students are split into Mon/Tues and Thurs/Fri clinical rotations during the fall and spring. Wednesdays and evenings are reserved for seniors didactic and lab. Freshman attend didactic and lab classes four days a week in the fall and two days a week and evenings in the spring as they are in clinical on Thurs/Fri. Both cohorts attend summer clinical five days a week in clinical sites for either summer 1 or summer 2. The clinical coordinator schedules student s clinical rotations and faculty is scheduled for each student s rotation to provide one on one instruction. 3. Both freshman and seniors meet once a month in the spring semester for Dr. Ayers, DMS medical director, presentations. BCC Academic Program Review -25-

Assessment [Ways in which the program addresses the college s commitment to assessment and assesses its program learning outcomes, changes that have been made to the curriculum as a result of assessment ] The program director is required to complete and submit a yearly annual report to the accrediting agency, Joint Review Committee-DMS. In 2015 the JRC conducted a site visit and as a result The Diagnostic Medical Sonography Program was awarded re-accreditation for a period of 10 years, the maximum time granted by the JRC-DMS. The DMS program also utilizes the college assessment liaison to identify strengths and weakness. The program assesses students in didactic, lab and clinical areas. The students are assessed by written, quizzes, tests, lab activities, reports, presentations and scanning competencies. Below 75 is a failing grade in the DMS program. The program assesses itself with student evaluations, graduate surveys, resource surveys and employer surveys Innovations or Changes in Last Five Years [New issues, significant changes, improved methodologies ] All faculty must provide students grades via Moodle. The echocardiography instructor has been replaced with an instructor with over 20 years of experience, Rose Marie Loffredo. Student evaluations, program assessment and direct observation by the program director were helpful in identifying this area of weakness. A major change in the accountability of lab instructors has been instituted in the fall 2016. Instructors must prepare a lab schedule for the entire semester before the start of the semester. This schedule is equally divided so each student has an equal amount of scan time and no one will be finished lab early. Each lab instructors is assigned to a specific group each week. The instructor is responsible for reviewing the students work with the student after each lab session. This process enhances the student s ability to self-evaluate, holds the student accountable to productivity, and holds the lab instructors accountable to a specific group of students for the entire time lab is in progress. Additionally, students are instructed to send all studies to PACS after every lab session, except for echo as the clip stores are better reviewed on the ultrasound machines. Five of our six ultrasound machines used for scan lab have the ability to send to PACS. The creation of Saturday scan lab has been very successful. Saturday scan lab is open to current students who want to work on their scanning skills and alumni. Previously if a graduate did not acquire employment immediately after graduation they lost their scanning skills over time. Saturday scan lab gives graduates the ability to practice their skills and be competitive in the job market. The DMS program recently acquired through a grant a portable Mindray ultrasound machine. This portable machine gave our students the ability to participate in Community Health Week and demonstrate carotid ultrasounds. Service Learning has been earned for the first time by the class of 2017. Seniors students, planned, implemented and reflected on a stroke prevention ultrasound display during Community Health Week. Additionally, the students will be able to practice 3D ultrasound on our new for 2017 fetal phantom. The combination of portable ultrasound machine knobology skills and 3D experience will prove to enhance our student s competiveness in the job market. BCC Academic Program Review -26-

Students have participated in the Celebration of Life Walk for 3 years. DMS students have collaborated with medical office assistant students to practice interview skills and utilized the surgical technologist OR suite to become familiar with operating instruments and patient positions used during ultrasound procedures. Kahoot has been introduced to DMS 205 and DMS 226. It is well received as a fun, yet useful way to review class material by the students. The DMS program is in the process of acquiring a potential new clinical site. Data Needs What additional data that is currently not available would have been helpful to effectively evaluate this area of the program? None at this time. FOCUS ON SUPPORT Reflect on the support issues related to this program please comment on only those which are applicable to this program. To what degree are they met, where there are kudos to be given, changes that have taken place, improvements to be made? Technology [Hardware and software, technical issues and/or support, instructional issues and/or support, training for faculty ] As of fall 2016 the DMS program has moved into the Health Professions Building. Our classroom/lab has been outfitted with a smart board, surround sound, document camera, DVD player, instructor s computer and the ability to connect four out of seven of our ultrasound machines to the smart board. After an introductory training session, the media department has been available to help with any issues. The smart board enables instructors to write directly on power point presentations with the virtual pen or finger. This has proven very helpful as we can now draw or point directly on our power point slides when teaching anatomy and pathology. We are in the process of obtaining an additional workstation so our students can access PACS without having to use the instructor s workstation. Facilities and Equipment [Cycles for replacement or refurbishment of equipment, classroom spaces, labs, furniture, concerns, needs ] We are in the process of requesting an additional stretcher for phantom scan practice. The DMS program recently received a scrotal phantom to replace our non-functional scrotal phantom and a breast phantom to supplement the didactic portion of our small parts unit. Three of our ultrasound units are at end of life and Dean Barnard has supported our need for three replacement ultrasound units. The current units do not communicate with the smartboard and produce inferior diagnostic images. We particularly need to acquire units with updated cardiac packages as we currently do not have the technology to teach and demonstrate Strain and tissue Doppler in echo lab. Our classroom has been outfitted with room darkening shades as the original shades allow too much light into the lab. Our classroom is clean, roomy and has adequate seating. Our lab portion is equipped with privacy curtains, six workstations, two sinks for hand washing and an eyewash station. Due to the fact that our students must full their bladders for lab, the DMS lab is equipped with a private lavatory. BCC Academic Program Review -27-